Player Details

Credit Card Details

Payment Amount

$154(includes online processing fee of $4)

* Card Type

VisaMastercardDiscover

* Name On Card

* Card Number

* Expiration Date

(enter as four digits in "mmyy" format)

WAIVER: I certify that my child is in excellent health and is able to participate in physical activity including soccer, sporting activity, club training sessions, competitive soccer games, tournaments and scrimmages.
I agree to hold FCUSA Coastal and U.K. Elite Soccer, its agents, employees and contractors harmless from any and all claims for injuries sustained during my child's participation in the program.
Permission is granted for my child to receive emergency medical treatment.

CONFIRMATION: You MUST provide a valid email address to receive your program confirmation and all further program information

CREDIT POLICY: A voucher for the full program fee will be issued for any cancellation prior to the camp. No cash refunds.

NB - Clicking the Complete Registration button will charge your credit card.Please click ONLY ONCE to ensure you are not charged multiple times.

The Football Club USA utilizes First Data Global Gateway to process all credit card transactions. All transactions use Secure Sockets Layer (SSL) Encryption to protect your information.

Other Payment Methods

Please enter the parent and player details above, ensure the waiver box below-left is checked, and then print this page.